Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $232.69 / $290.83 / $427.76	Facility	26	$232.69	$290.83	$427.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $777.87 / $1,368.66	Professional		$581.88	$777.87	$1,368.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.42 / $127.00 / $549.00	Professional	26	$111.42	$127.00	$549.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $258.77 / $318.50 / $424.18	Professional	52	$258.77	$318.50	$424.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $465.22 / $610.94 / $966.45	Professional	TC	$465.22	$610.94	$966.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $622.38 / $653.50	Professional		$560.14	$622.38	$653.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.29 / $110.09 / $196.27	Professional	26	$104.29	$110.09	$196.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $599.62 / $749.53	Professional		$449.72	$599.62	$749.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.79 / $110.38 / $137.97	Professional	26	$82.79	$110.38	$137.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $366.93 / $489.24 / $611.54	Professional	TC	$366.93	$489.24	$611.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $945.41 / $1,550.88	Professional		$621.98	$945.41	$1,550.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.79 / $183.59 / $324.25	Professional	26	$119.79	$183.59	$324.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $498.98 / $762.44 / $1,241.17	Professional	TC	$498.98	$762.44	$1,241.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $286.83 / $753.90 / $753.90	Facility	26	$286.83	$753.90	$753.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.34 / $889.20 / $6,200.00	Professional		$593.34	$889.20	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.61 / $184.74 / $1,081.48	Professional	26	$111.61	$184.74	$1,081.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $475.20 / $713.25 / $3,875.48	Professional	TC	$475.20	$713.25	$3,875.48
United Facility/Professional Professional Modifier Low / Median / High Price $574.42 / $796.96 / $1,406.40	Professional		$574.42	$796.96	$1,406.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.24 / $161.28 / $287.29	Professional	26	$111.24	$161.28	$287.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $468.13 / $638.16 / $1,112.51	Professional	TC	$468.13	$638.16	$1,112.51